14D2038304 CLIA NUMBER - WALGREENS #12890

Laboratory Demographics

  • CLIA Code: 14D2038304
  • Facility Name: WALGREENS #12890
  • Facility Address: 503 WALNUT ST
    MURPHYSBORO, IL
    ZIP 62966
  • Facility Phone: 618 565-2329
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: KELSEY MILEUR
  • NPI Number: 1982868774
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2038304
LAB Type Other - COVID TESTING
Facility Name WALGREENS #12890
Street 503 WALNUT ST
City MURPHYSBORO
State IL
ZIP 62966
Phone 618 565-2329
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Other - COVID TESTING
Lab Director KELSEY MILEUR

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This page was last updated on: 9/29/2025